• Title/Summary/Keyword: Prior-Treatment

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Effect of Prior Deformation on the Martensitic Transformation Temperature(Ms) and Reversed Martensitic Transformation Temperature(As) in Fe-Ni Alloy (Fe-Ni합금(合金)의 마르텐사이트변태온도(變態溫度)(Ms)와 역변태온도(逆變態溫度)(As)에 미치는 소성가공(塑性加工)의 영향(影響))

  • Shon, In-Jin;Nam, Kee-Seok
    • Journal of the Korean Society for Heat Treatment
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    • v.3 no.4
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    • pp.41-52
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    • 1990
  • This research has been performed in order to investigate the effect of prior deformation on the Ms temperature and reversed As of Fe-Ni alloy. The Ms temperature rose with increment of strain to 30% but lowered over 50%. It can be analysed that martensitic transformation was promoted by partial dislocation in low strain, but suppressed by dislocation cell structures in high strain. The As temperature was substantially increased with higher deformation to 20% but slowly above 50%. It may be caused that as the transition bands formed by deformation constrained shear strain, therefore austenitic transformation was hindered.

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Effect of Strengthening by Reverse Transformation of Ausformed Martensite and Marformed Martensite of Fe-31% Ni-0.2% C Alloy (Fe-31% Ni-0.2% C 합금(合金)의 오스폼드 마르텐사이트와 마르폼드 마르텐사이트의 역변태처리(逆變態處理)에 의한 강화효과(強化效果))

  • Kim, Byung Il
    • Journal of the Korean Society for Heat Treatment
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    • v.6 no.1
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    • pp.26-36
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    • 1993
  • In this study, the ausformed martensite and marformed martensite obtained from austenite with various deformation degrees in Fe-31% Ni-0.2%C alloy were transformed to revesed austenite at $510^{\circ}C$ by cyclic reverse martensite transformation. The effect of prior deformation, the rapid heating rate of reversion and number of cyclic transformation on the microstructure, mechanical properties of reversed austenite were investigated. The reverse austenite transformation is accomplised by the mechanism of shear type transformation. The structure of reversed austenite formed from ausformed martensite and marformed martensite with high deformation degrees is a fine structure of nearly equiaed grain containg a high density of dislocation tangles and was largely affected by the prior deformation applied before reversal transformation. The strength of reversed austenite is more increased with of cyclic transformation especially it is strength at the first cyclic transformation. The yield stress of revesed austenite of ausformed martensite is lower than that of marformed martensite.

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Characterization and predictive value of volume changes of extremity and pelvis soft tissue sarcomas during radiation therapy prior to definitive wide excision

  • Gui, Chengcheng;Morris, Carol D.;Meyer, Christian F.;Levin, Adam S.;Frassica, Deborah A.;Deville, Curtiland;Terezakis, Stephanie A.
    • Radiation Oncology Journal
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    • v.37 no.2
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    • pp.117-126
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    • 2019
  • Purpose: The purpose of this study was to characterize and evaluate the clinical significance of volume changes of soft tissue sarcomas during radiation therapy (RT), prior to definitive surgical resection. Materials and Methods: Patients with extremity or pelvis soft tissue sarcomas treated at our institution from 2013 to 2016 with RT prior to resection were identified retrospectively. Tumor volumes were measured using cone-beam computed tomography obtained daily during RT. Linear regression evaluated the linearity of volume changes. Kruskal-Wallis tests, Mann-Whitney U tests, and linear regression evaluated predictors of volume change. Logistic and Cox regression evaluated volume change as a predictor of resection margin status, histologic treatment response, and tumor recurrence. Results: Thirty-three patients were evaluated. Twenty-nine tumors were high grade. Prior to RT, median tumor volume was 189 mL (range, 7.2 to 4,885 mL). Sixteen tumors demonstrated significant linear volume changes during RT. Of these, 5 tumors increased and 11 decreased in volume. Myxoid liposarcoma (n = 5, 15%) predicted decreasing tumor volume (p = 0.0002). Sequential chemoradiation (n = 4, 12%) predicted increasing tumor volume (p = 0.008) and corresponded to longer times from diagnosis to RT (p = 0.01). Resection margins were positive in three cases. Five patients experienced local recurrence, and 7 experienced distant recurrence, at median 8.9 and 6.9 months post-resection, respectively. Volume changes did not predict resection margin status, local recurrence, or distant recurrence. Conclusion: Volume changes of pelvis and extremity soft tissue sarcomas followed linear trends during RT. Volume changes reflected histologic subtype and treatment characteristics but did not predict margin status or recurrence after resection.

Bayesian methods in clinical trials with applications to medical devices

  • Campbell, Gregory
    • Communications for Statistical Applications and Methods
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    • v.24 no.6
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    • pp.561-581
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    • 2017
  • Bayesian statistics can play a key role in the design and analysis of clinical trials and this has been demonstrated for medical device trials. By 1995 Bayesian statistics had been well developed and the revolution in computing powers and Markov chain Monte Carlo development made calculation of posterior distributions within computational reach. The Food and Drug Administration (FDA) initiative of Bayesian statistics in medical device clinical trials, which began almost 20 years ago, is reviewed in detail along with some of the key decisions that were made along the way. Both Bayesian hierarchical modeling using data from previous studies and Bayesian adaptive designs, usually with a non-informative prior, are discussed. The leveraging of prior study data has been accomplished through Bayesian hierarchical modeling. An enormous advantage of Bayesian adaptive designs is achieved when it is accompanied by modeling of the primary endpoint to produce the predictive posterior distribution. Simulations are crucial to providing the operating characteristics of the Bayesian design, especially for a complex adaptive design. The 2010 FDA Bayesian guidance for medical device trials addressed both approaches as well as exchangeability, Type I error, and sample size. Treatment response adaptive randomization using the famous extracorporeal membrane oxygenation example is discussed. An interesting real example of a Bayesian analysis using a failed trial with an interesting subgroup as prior information is presented. The implications of the likelihood principle are considered. A recent exciting area using Bayesian hierarchical modeling has been the pediatric extrapolation using adult data in clinical trials. Historical control information from previous trials is an underused area that lends itself easily to Bayesian methods. The future including recent trends, decision theoretic trials, Bayesian benefit-risk, virtual patients, and the appalling lack of penetration of Bayesian clinical trials in the medical literature are discussed.

Influence of Variation of Aging Heat Treatment Condition on Phase Transformation and Mechanical Properties of 15-5PH Stainless Steel (15-5PH 스테인리스강의 시효열처리 조건변화가 상변태 및 기계적 성질에 미치는 영향)

  • Kim, T.S.;Lee, Jewon;Roh, Y.S.;Sung, J.H.;Lim, S.G.
    • Journal of the Korean Society for Heat Treatment
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    • v.32 no.5
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    • pp.212-223
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    • 2019
  • This study is to investigate the relationship between microstructural factors and tensile properties after aging heat treatment of the 15-5PH stainless steel at the temperature range of $450^{\circ}C$, $500^{\circ}C$ and $550^{\circ}C$ for various time. For the aging time of 2 hours, hardness showed maximum at $450^{\circ}C$ and then decreased with increasing aging temperature. While, hardness decreased gradually during aging $450^{\circ}C$, $500^{\circ}C$ and $550^{\circ}C$ from 1 hour to 5 hours but the hardness nearly unchanged until the 100 hours after 5 hours aging. When aging at $450^{\circ}C$, Cu atoms preferentially aggregated at the prior austenite grain boundaries and martensite lath boundaries, and Cu concentration at those boundaries was nearly unchanged even after aging for 100 hours. Therefore it was suggested that the coherency is still maintained after 100 hours aging at $450^{\circ}C$. Aging at $500^{\circ}C$ and $550^{\circ}C$ results in an increase in the concentration of Ni at the martensite lath boundaries and prior austenite grain boundaries, resulting in the formation of reversed austenite. Especially, when aged at $550^{\circ}C$ for 100 hours, the concentration of Ni remarkably increased at those boundaries, and thus the microstructure of herring bone shape was appeared. Considering the migration of Ni atom to the lath boundaries and prior austenite grain boundaries, Ni atoms contributed greatly to the formation of reversed austenite. On the other hand, it was found that Cu atoms hardly moving to those boundaries may not be contributed to the formation of reversed austenite. When aging at $450^{\circ}C$, the coarsening of the precipitated Cu atoms proceeded very slowly with increasing aging time, therefore the decrease in strengths were small but the reduction area was considerably increased due to the softening of the matrix. At the aging temperature of $500^{\circ}C$ and $550^{\circ}C$, the strengths decreased and the elongation and reduction area increased due to the appearance of the reversed austenite. Especially, the increase of reduction area was remarkable.

The Effect of Real-Time Individual Process Performance Feedback on Computer-based Group Idea Generation

  • Jung, J.H.
    • The Journal of Information Systems
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    • v.23 no.2
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    • pp.91-107
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    • 2014
  • In computer-mediated idea generation where contributions can be anonymous, the ability to accurately monitor performances is limited, inducing social loafing. Prior research has suggested that social loafing is likely an important factor in reducing task performance. Researchers have theorized that loafing could be minimized if clear performance feedback is provided. Our prior study evidences a substantial performance gain by the provision of real time performance information about who is contributing and who is not. However, our prior study incorporated the quantity feedback only to create a larger pool of ideas based on the long-standing assumption (i.e., quantity breeds quality), not considering the quality feedback. As a result, taking advantage of anonymity in the form of pseudonymity, individuals in almost all groups exhibited a tendency of self-presentation by capitalizing on ideas of which quality was low and even frivolous (i.e., junk comments) toward the later stages of the session. Thus, we have learned that the quantity performance feedback alone does not have enough restrictiveness to consistently control the performance behavior throughout the session. Since a process chart allows participants to monitor process variation by comparing new performance data to past performance data, we incorporated real-time visual process performance feedback to reveal performance histories by connecting the sequence of idea quality scores in a time-series format. Using this environment, a laboratory experiment was conducted with five-member groups that examined the influence of both identifiability (i.e., anonymity versus pseudonymity) and process performance feedback (i.e., yes or no) in a $2{\times}2$ factorial design. The result showed that groups in the process performance feedback treatment outperformed groups in the no feedback treatment. Additionally, process performance feedback and identifiability interacted such that groups in the process performance feedback/pseudonymity treatment had the highest performance. The implications of these findings for future research, as well as the implications for the design of group idea generation procedures are discussed.

Real-World Impact of Modern Reperfusion Therapy for Acute Ischemic Stroke : A Nationwide Population-Based Data Study in Korea

  • Yung Ki Park;Byul-Hee Yoon;Yu Deok Won;Jae Hoon Kim;Hee In Kang
    • Journal of Korean Neurosurgical Society
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    • v.67 no.2
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    • pp.186-193
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    • 2024
  • Objective : The treatment paradigm for acute ischemic stroke has undergone several major changes in the past decade, contributing to improved patient prognosis in clinical practice. However, the extent to which these changes have affected patient prognosis in the real-world is yet to be clarified. This study aimed to evaluate the real-world impact of modern reperfusion therapy for acute ischemic stroke using data from the National Health Insurance Service in Korea. Methods : This study included patients aged 18-80 years who were admitted via the emergency room with an I63 code between 2011 and 2020. The rates of intravenous thrombolysis use and endovascular treatment according to the year of admission were investigated. Furthermore, the rates of decompressive craniectomy and 3-month mortality were also analyzed. The 10-year observational period was divided into three periods based on the 2015 guideline change as follows : prior, 2011-2014; transitional, 2015-2016; and modern, 2017-2020. Results : A total of 307117 patients (mean age, 65.7±10.9 years) were included, and most patients were male (59.7%). The rate of endovascular treatment gradually increased during the study period from 0.71% in the prior period to 1.32% in the transitional period and finally to 1.85% in the modern period. Meanwhile, the 3-month mortality rate gradually decreased from 4.78% in the prior period to 4.03% in the transitional period and to 3.71% in the modern period. Conclusion : In Korea, the mortality rate decreased as the rate of modern reperfusion therapy increased in patients with acute ischemic stroke. Overall, technical and scientific advances in reperfusion therapy have improved the outcome of patients with acute ischemic stroke in Korea.

The Analysis of Dental Hospital Patients with Trigeminal Neuralgia (치과병원에 내원한 삼차신경통환자의 치험예 (34예 분석))

  • Kim, In-Jung;Choi, Jong-Hoon;Kim, Chong-Youl
    • Journal of Oral Medicine and Pain
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    • v.25 no.2
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    • pp.235-240
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    • 2000
  • This study was carried out among 34 patients who visited Yonsei Dental Hospital from 1996. 1. to 1999. 5 for trigeminal neuralgia. By studying the patient's treatment prior to visiting our hospital, features of trigeminal neuralgia, treatment process of trigeminal neuralgia, prognosis of treatment, consultation with other professions and involvement of surgery, etc., the results are as follows: 1. 67.7% of onset age range from 40s to 60s, and average age is 50.2. 2. Ratio of right to left involvement is 1:2.1, male to female ratio is 1:1.9. 3. Occurrence rate of each branch is V3(44.1%), V2(11.8%), V1+V2+V3(11.8), V1+V2(8.8%). 4. Treatments prior to admission to our hospital are extraction(5.9%), endodontic treatment(5.9%), medication(11.8%), Oriental Medicine treatment(5.9%). 5. Routes of admittance to our hospital are by their preference(55.9%), local clinic referral(32.4%), E.N.T referral(5.9%), Neurology referral(5.9%). 6. 70.6% of patients treated at our hospital who were relieved of symptoms, were referred to Neurology(66.7%) and Pain Clinic(33.3%) for the reason of relapse, side effects of the drug itself, incomplete relief of pain. 7. 2 patients who were referred to medical part showed brain vessels contacting trigeminal nerve root on Brain MRangiography. But pain is being controlled by medication and no specific surgical procedure was carried out. The results show that 17.7% of patients admitted received inappropriate early treatment. In order to relieve tooth loss and patient's psychologic stress due to inappropriate treatment, precise differential diagnosis must be made among local teeth disease and idiopathic facial pain. Medication may show side effects of the drug itself, incomplete relief of pain or relapse of symptoms. Therefore, to treat trigeminal neuralgia appropriately by drug injection, surgery or radiation therapy, consultations among dentists, neurologists and anesthesiologists are required.

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Effects of Gibberellin Treatment on the Berry Thinning Labor-save and Fruit Quality of 'Campbell Early' Grapevine (포도 '캠벨얼리'의 지베렐린 처리에 의한 적립 노력 절감 및 과실 품질)

  • Moon, Byung-Woo;Moon, Young-Ji;Lee, Young-Cheul;Nam, Ki-Woong
    • Journal of Practical Agriculture & Fisheries Research
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    • v.17 no.1
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    • pp.133-144
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    • 2015
  • A study was conducted to examine treatment method, proper concentration, and treatment time of gibberellin(GA3) for human labor saving at harvest in 'Campbell Early' grapevine. Fruit berry thinning reduced labor by GA3 40ppm treatment of 5 days prior to full bloom, and, at GA3 10, 20, and 40ppm during full bloom, by 14.27~19.15 minutes/tree. Therefore, although labor was reduced by dipping treatment at 40ppm of 5 days prior to full bloom and 20 and 40 ppm during full bloom, severe shattering was observed at 40ppm dipping treatment, and soluble solids decreased, which suggests difficulty with commercialization. The result suggests that proper time and concentration of GA3 fruit cluster dipping treatment at full bloom and 10 and 20ppm, respectively.

Effects of Early Age Feed Restriction and Dietary Ascorbic Acid on Heterophil/ Lymphocyte and Tonic Immobility Reactions of Transported Broiler Chickens

  • Zulkifli, I.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.10
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    • pp.1545-1549
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    • 2003
  • Broiler chickens were subjected to (i) pre-treatment for 24 h with 1,200 ppm L-ascorbic acid in their drinking water on day 42 (AA), (ii) 60% feed restriction on days 4, 5 and 6 (FR), (iii) combination of AA and FR (AAFR), or (iv) neither treatment (control). On day 43, the birds were crated and transported in an open truck for either 60 min or 120 min. Heterophil/lymphocyte ratios (HLR) were determined prior to ($T_0$) and 20 h following the 60 min ($T_60$) and 120 min ($T_120$) journeys. Prior to transportation, all treatment groups had similar HLR. Following $T_60$, the AAFR chicks had smaller increase in HLR than their control, AA and FR counterparts. The AA, FR and AAFR birds exhibited lower HLR than controls following $T_120$. The means HLR of AA, FR and AAFR did not differ significantly. Irrespective of journey time, AA and AAFR birds had shorter tonic immobility duration than their FR and control counterparts. The tonic immobility duration of all birds increased with journey duration.